Monica E. Oss, M.S. is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.
Prior to founding OPEN MINDS, Ms. Oss served as an executive with a national managed behavioral health organization, with responsibility for market development and for actuarial analysis and capitation-based rate setting. She also held a position as a vice president of the U.S. risk management and underwriting division of an international insurance company.
Ms. Oss has been the keynote speaker at the conferences of dozens of national associations and has been published in a wide range of professional journals and trade publications. She has provided Congressional and state legislative testimony on issues as diverse as the financial impact of parity and payer medication access policies.
Ms. Oss has led a range of industry research and management consultation initiatives, serving as principal investigator on research projects that include (but are certainly not limited to) examination of national managed behavioral health enrollment patterns; development of provider rate structures for government entities; creation of a return-on-investment analysis model for technology investments; design of performance-based compensation models for service providers and managed care entities within public and private health plans; and analysis of the economic impact to health systems and health plans of changes in benefit design, adoption of evidence-based practices, and new technologies.
Ms. Oss is a graduate of the University of Minnesota. She serves on the advisory boards of the Shippensburg University Health & Human Service Management Program and the Institute for Behavioral Health Informatics.
Published on: 10/16/2017
High levels of consumer engagement are the "golden standard" for health care organizations—with the assumption that engaged consumers are more…
Published on: 10/13/2017
I walked away from the keynote by Nancy Thaler, Deputy Secretary for the Office of Developmental Programs at the Pennsylvania…
Published on: 10/11/2017
I was pleased to read that the uninsured rate for consumers with severe mental illness (SMI) is dropping. Between 2012…
Published on: 09/25/2017
In this presentation, delivered September 25, 2017 at The 2017 OPEN MINDS Executive Leadership Retreat, OPEN MINDS Chief Executive Officer…
Value-Based Purchasing & Complex Consumers Market Update: An OPEN MINDS Circle Elite Member Executive Briefing
Published on: 07/06/2017
This exclusive webinar recording explores where behavioral health fits into population health management. Download this exclusive webinar now to hear…
Meeting The Needs Of Vulnerable Children: The Opportunities & Challenges In Today’s Children’s Services
Published on: 02/15/2017
This presentation was led by Monica Oss, chief executive officer of OPEN MINDS at the 2017 OPEN MINDS Next Generation…